SearchMissouri101YP2500X

Richard Wells

NPI 1841493434 · on the registry since 2007 · sole proprietor

Practice

Address
120 Brooks St Apt 17
Licking, MO 65542
Phone
(573) 889-9534

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP1600X
171R00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri